Provider Demographics
NPI:1427569011
Name:SHEHAB, NOORA (MSOM)
Entity Type:Individual
Prefix:
First Name:NOORA
Middle Name:
Last Name:SHEHAB
Suffix:
Gender:F
Credentials:MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 DANA ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4319
Mailing Address - Country:US
Mailing Address - Phone:310-406-7816
Mailing Address - Fax:
Practice Address - Street 1:65 DANA ST APT 5
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4319
Practice Address - Country:US
Practice Address - Phone:310-406-7816
Practice Address - Fax:310-406-7816
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist